Healthcare Provider Details

I. General information

NPI: 1184791493
Provider Name (Legal Business Name): JAMES HOSEA BARNEBEE III M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PINCKNEY BLVD
BEAUFORT SC
29902-6122
US

IV. Provider business mailing address

5353 W TYSON AVE
TAMPA FL
33611-3234
US

V. Phone/Fax

Practice location:
  • Phone: 843-228-5409
  • Fax: 843-228-5555
Mailing address:
  • Phone: 843-228-5409
  • Fax: 843-228-5555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number025209 MD00024379
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: